Provider Demographics
NPI:1508566621
Name:PATIENT OUTREACH HEALTHCARE INC.
Entity Type:Organization
Organization Name:PATIENT OUTREACH HEALTHCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:LYONGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-216-4207
Mailing Address - Street 1:2024 WINTHROP WAY
Mailing Address - Street 2:
Mailing Address - City:MACUNGIE
Mailing Address - State:PA
Mailing Address - Zip Code:18062-8043
Mailing Address - Country:US
Mailing Address - Phone:412-216-4207
Mailing Address - Fax:443-378-8529
Practice Address - Street 1:2024 WINTHROP WAY
Practice Address - Street 2:
Practice Address - City:MACUNGIE
Practice Address - State:PA
Practice Address - Zip Code:18062-8043
Practice Address - Country:US
Practice Address - Phone:412-216-4207
Practice Address - Fax:443-378-8529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health